NPI | 1821430463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE f1-0000874) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S03743) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2016-04-05 |